45D0487760 CLIA NUMBER - ELECTRA HOSPITAL DISTRICT DBA PARK CLINIC

Laboratory Demographics

  • CLIA Code: 45D0487760
  • Facility Name: ELECTRA HOSPITAL DISTRICT DBA PARK CLINIC
  • Facility Address: 310 W ALAMEDA ST
    IOWA PARK, TX
    ZIP 76367
  • Facility Phone: 940 495-3981
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SHERIE RONDEAU
  • NPI Number: 1346805348
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0487760
LAB Type Rural Health Clinic
Facility Name ELECTRA HOSPITAL DISTRICT DBA PARK CLINIC
Street 310 W ALAMEDA ST
City IOWA PARK
State TX
ZIP 76367
Phone 940 495-3981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Rural Health Clinic
Lab Director SHERIE RONDEAU

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This page was last updated on: 9/29/2025